Individual
AMBER PESKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC
Contact information
Practice address
1514 JEFFERSON HWY, CT-6, NEW ORLEANS, LA 70121-2429
(504) 842-9078
(504) 842-0130
Mailing address
2616 JACKIE CT, MARRERO, LA 70072-7800
(504) 458-0817
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
133517
LA
364S00000X
Clinical Nurse Specialist
Primary
AP08277
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2398181
—
LA
Enumeration date
02/02/2015
Last updated
11/09/2015
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